Dean C Baetzhold, MSOM, LAC, DIPLAC
Individual provider Active NPI Acupuncturist · Denver, CO
NPI 1396089462 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1396089462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1677 (CO)
- Practice address
- 2931 W 23Rd Ave
Denver, CO 80211-4630 - Phone
- (303) 480-0080
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1677 | CO | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1677 | CO | Yes |
Addresses
Primary practice location
2931 W 23Rd Ave
Denver, CO 80211-4630
Mailing address
2931 W 23Rd Ave
Denver, CO 80211-4630
Phone (303) 480-0080
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.